Individual
GRACE E SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 COUNTY ROAD B2 W STE 180, ROSEVILLE, MN 55113-2754
(651) 631-8311
Mailing address
2501 COTTONTAIL LN, SOMERSET, NJ 08873-5125
(732) 529-7120
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2863
MN
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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